contract agreement · K-3
Discussion and Consideration of Pay Application #9 – Miron Construction – Tiffin Recreation Center – Motion to Approve — K-3
Page 17 of 80
Text from the PDF text layer; check the PDF for anything that matters. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement changes the policy effective on the inception date of the policy or as of the date indicated below.
CZ92023197 01/01/2025 01/01/2026
Policy Number Effective Expiring Issued To
4 2025-08-28 (12358) Skogman Insurance
Endorsement No. Effective Agent
Authorized Representative
AMENDATORY ENDORSEMENT
ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
GOVERNMENTAL IMMUNITY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Organization:
City of Tiffin
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is-amended to add the following:
Nonwaiver of Government Immunity
The purchase of this policy and naming of the organization shown in the Schedule as an additional insured
does not waive any of the defenses of governmental immunity available to the organization shown in the
Schedule under Code of Iowa Section 670.4 as it now exists and as it may be amended from time to time.
Claims Coverage
This policy shall cover only those claims not subject to the defense of governmental immunity under the Code
of Iowa Section 670.4 as it now exists and as it may be amended from time to time.
Assertion of Government Immunity
The organization shown in the Schedule shall be responsible for asserting any defense of governmental immunity,
and may do so at any time and shall do so upon the timely written request of the insurance carrier.
Non-Denial of Coverage for Governmental Immunity
We shall not deny coverage or deny any of the rights and benefits accruing to the organization shown in the
Schedule under this policy for reasons of governmental immunity unless and until a court of competent jurisdiction
has ruled in Favor of the defense(s) of governmental immunity asserted by the organization shown in the Schedule.
GA 4217 IA 05 03
Form 70-16B (Rev. 11/93)
Sources
- revize: K-3 (idkO7CGapkWzUtRwvHU907cOCEXEc7.pdf) — where it was found ↗ first seen Oct 12, 2026
Attached to agenda item: K-3 Discussion and Consideration of Pay Application #9 – Miron Construction – Tiffin...
Data last updated October 16, 2026. Built from the archive's documents; see how the data is built.